Individual provider Active NPI

Purnell Alexis Kirkland, M.D.

  • Rheumatology Physician
  • Inglewood, CA
National Provider Identifier
1629133368
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G39834 Issued in CA
Practice address
575 E Hardy St
Suite #320
Inglewood, CA 90301-4036
Phone
(310) 672-8921
Fax
(310) 672-0363
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G39834 CA Primary

Addresses

Primary practice location

575 E Hardy St
Suite #320
Inglewood, CA 90301-4036

Mailing address

575 E Hardy St
Suite #320
Inglewood, CA 90301-4036
Phone (310) 672-8921

Other identifiers 1

IdentifierTypeStateIssuer
00G398340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001469 CA Practitioner - RheumatologyPractitioner - Internal Medicine 6709072606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 E Hardy St
Suite 320
Inglewood, CA 90301-4051
Phone (310) 672-8921

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Centinela Hospital Medical Ctr Inpatient rehabilitation facility, Inglewood, CA, CCN 05T739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G39834CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Purnell a. Kirkland, MD Inc Rheumatology CurrentSince Mar 10, 1987 Accepting new patients

Locations

575 E Hardy St
Ste 320
Inglewood, CA 90301
Phone (310) 672-8921

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1629133368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "SUITE #320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-672-8921",
            "fax_number": "310-672-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "SUITE #320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-672-8921",
            "fax_number": "310-672-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "PURNELL",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G39834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G398340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.